双胎输血综合征多见于单绒毛膜双胎妊娠,如不治疗,绝大多数胎儿死亡。产前超声检查和产时胎盘检查可以诊断。治疗措施有:羊膜腔穿刺羊水减压术,羊膜膈穿孔羊水平衡术,选择性灭胎术,胎盘血管交通支阻断术等。其中胎盘血管交通支阻断术,成功率很高。 Twin blood transfusion syndrome more common in single chorionic twin pregnancy, if not treated, the vast majority of fetal deaths. Prenatal ultrasound and placenta accreta can be diagnosed. Treatment measures are: amniocentesis amniotic fluid decompression, amniotic membrane perforation amniotic fluid balance surgery, selective abortion, placental vascular traffic block and so on. One of the placental vascular traffic support block, a high success rate.